MediQuire FQHC One Pager (PDF)

Measure, Improve, and Get Paid
for Your Clinical Performance
Clinical Performance Measures are an Increasingly Important Part of Revenue...
• Many payers and government entities provide substantial
payments related to improvements in HEDIS clinical
quality metrics, which vary by payer and state
• Additional revenue streams are developing that are not
tied to a fee for service model, such as health homes,
Chronic Care Management, CPC+, telemedicine, etc.

$

100

per patient
from HRSA

$

40

per patient
per month
from payers

• HRSA awards performance grants for improved UDS
quality and access measures
• Other programs, such as Ryan White and Title X, include
payments to providers based on outlined quality
measures

$

200

for proper
prenatal care

$

15

per chronic
care assessment
form

...But Clinics are Not Prepared for This
• Information on patient encounters in EHRs are stored in
unstructured and customized free-text, checkbox, and
drop down fields, and scanned documents. This data is
lost in performance measures produced by EHRs and
population management tools
• Many providers have multiple different EHRs and are
not able to properly aggregate and report on clinical
performance holistically
• Clinics lack data on patients that payers auto-enroll at
their clinics, but who have never actually had an appointment at their assigned clinic - payers include these
patients when determining incentive payments

30%
average percentage HEDIS
measures are underreported

• Most clinics are either underpaid from performance
incentive programs because they under-report their own
clinical performance, or spend a lot time and money
doing manual workarounds and chart reviews

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Interested in learning more about MediQuire? Contact us: sales@mediquire.com | 415.312.8340

Our Solution
Measure and Analyze Your Clinic’s Performance
• Unlike your EHR, Mediquire uses our Natural Language
Processing to take into account all information from
free-text, checkbox, drop-down fields, and scanned
documents
• We surface all performance measures to front line staff
and clinic leadership, broken down provider-by-provider
and over time

• Drill down into specific measures to examine and audit
care gaps
• We work to incorporate data from your payers on enrolled
patients to make sure all enrolled patients are showing up
in the clinic’s measures

Improve Your Clinic’s Performance
• Empower providers with the real-time Task
Manager showing which patients are coming
in that day, what care gaps exist for those
patients based on their payer and relevant
grant programs, and the procedures needed
to address the gaps
• Enable care coordinators to quickly identify
at-risk populations with our Intelligent
Registry, so they know which patients they
need to get into the clinic to address known
care gaps

TODAY'S PATIENT SCHEDULE

31 Appointments | 72 Care Gaps Identified

TIME

PATIENT

DOB

CARE GAPS

8:00am

Jeffreys, Don

02/15/1971

2

8:30am

O’Malley, Sandra

05/12/1959

2

9:00am

Makong, Sanrita

05/09/1960

3

Allergies

Vitals

Actions Needed

Penicillins

BMI : 41

Breast Cancer Screening: Mammogram

Last Encounter Date

BP : 160/100

Cervical Cancer Screening: Cervical Cytology
Hypertension: Blood Pressure Reading

08/01/2015

Get Paid For Your Performance
• Our Pay-4-Performance Dashboard allows
you to see the gap in your actual clinical
performance as compared to the documenta
tion as you need to report it to your payers in
order to get full incentive payments. This
allows you to easily identify and close these
“Documentation Gaps”, so you don’t
under-report performance and miss out on
full payment
• For FQHCs, we power full real-time UDS
reporting to HRSA requires to receive their
grant funding, making expensive, time
consuming manual chart reviews unnecessary

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PERFORMANCE INCENTIVE PROGRAM DETAILS
Provider
Performance

HEDIS
Documentation

Adolescent Well-Care Visit

55%

21%

Annual Dental Visit

39%

Breast Cancer Screening

31%

Cervical Cancer Screening

45%

Blood Pressure HTN
Hemoglobin A1c Testing
Aggregate Results

Measure

Benchmark
Goal

Incentive
Achieved

Incentive
Maximum

95%

$9,947

$45,000

27%

95%

$12,789

$45,000

8%

75%

$3,733

$35,000

13%

50%

$12,870

$49,500

47%

34%

60%

$13,250

$53,000

74%

20%

95%

$11,095

$31,000

49%

20%

95%

$63,685

$258,500

Interested in learning more about MediQuire? Contact us: sales@mediquire.com | 415.312.8340